Individual
AZHER IQBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 852-1977
Mailing address
6337 TRANSIT RD, DEPEW, NY 14043-1030
(716) 852-1977
(716) 852-1959
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
1967541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025407301
UNIVERA
—
01
—
00025407303
UNIVERA
—
01
—
000525535003
BLUE SHIELD OF WESTERN NY
—
05
—
01729473
—
NY
01
—
5609610
INDEPENDENT HEALTH
—
01
—
CRDRA1967546B
WORKERS COMPENSATION
NY
Enumeration date
07/26/2006
Last updated
04/06/2017
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